Full Name | |
---|---|
Speciality | Family Medicine |
Location | 480 Ne A St, Madras, Oregon |
Authorized Official Name and Position | Martha Bewley (DIRECTOR OF FINANCE) |
Authorized Official Contact | 5414604001 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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470 Ne A St Madras OR 97741-1844 Ph: (541) 475-3882 | 480 Ne A St Madras OR 97741-1844 Ph: (541) 460-4001 |
NPI Number | 1932227105 |
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Provider Enumeration Date | 03/27/2007 |
Last Update Date | 06/23/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932227105 | NPI | - | NPPES |
151024 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Physician Management Services Of Oregon, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 76 Ne 12th St, Madras, OR 97741 Phone: 888-829-8550 | |
Madras Medical Group P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 76 Ne 12th St, Madras, OR 97741 Phone: 541-475-3874 Fax: 541-475-3503 | |